CMS Price Transparency Data

Breast lump removal

Facility: Mercy Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,372
about 0.6× the $4,000 Medicare rate · typically $923–$3,954
modeled estimate · not a bill or quote
What this hospital charges insurers
$653
Below the fair price — a good deal
about $1,719 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $2,372 This hospital $653

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $445 Priciest $653

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $2,372 (about 0.6× the $4,000 Medicare rate). Mercy Medical Center charges insurers about $653 — below the fair price — a good deal. Located in Merced, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4,865 122%
Blue Cross Blue Shieldmajor $348 - $15,399 9%
Aetnamajor $4,865 - $8,124 122%
Humanamajor $4,865 122%
Kaiser Permanentemajor $302 - $4,865 8%
Health Net $653 - $16,193 16%
Molina $302 8%
+ 8 smaller / regional plans $302 - $4,865

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Facility Profile & Credentials

  • Address: 333 Mercy Avenue, Merced, CA 95340
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals